Student Program Fund (SPF) Application

The last day to request SPF Funds for the Spring of 2015 will be April 20th.

Applications should be submitted no later than 9am on Mondays, and applications must be complete for full consideration.

You must submit your request through the online application form AT LEAST 5 business days prior to the day of your event so that the SALD Office will have enough time to process the request.

Applications will not be considered retroactively nor any other day but Monday at 9am.

The individual student or student organization will be notified by email as to the status of their application.

For complete information about the Student Program Fund guidelines, click here.

Sponsoring Student Organization:

WSA/Student Organization Smartkey Number:

First Name:

Last Name:

WesID:

Email:

Phone:

Event Name:

Event Date(s):

Event Time:

Event Location:

This event is a:

Social EventNon-Social Event

Describe the proposed activity/event in detail:

How does this event/opportunity contribute to building campus community and/or learning outside of the classroom?:

Number of People Expected in Attendance:

Target Audience:

Proposed Costs

Please provide an overview of all of your event expenses and not just the funding you are asking from SALD.

Honorarium $:

Travel (Note: SPF cannot fund travel) $:

Conference Fee $:

Advertising/ Promotion $:

Equipment Rental $:

Materials/ Supplies $:

Food $:

Please describe other proposed costs:

Total expenses $:

AMOUNT YOU ARE REQUESTING from the Student Program Fund $:

Of all expenses listed above, I would like for the SPF to help fund:

Other Sources of Funding

If your event costs more than $100.00, at least one other funding source is required.

Please list what those funding sources will be:

Source 1:

Amount $:

Source 2:

Amount $:

Source 3:

Amount $:

PLEASE READ BEFORE SUBMISSION

By pressing the SUBMIT button, I agree that, to the best of my knowledge, all the information in this application is true and correct. If a grant is made, the organizer(s) named on this application agree to comply will all University policies and procedures as outlined in the Code of Non-Academic Conduct. I understand that failure to comply with these policies and procedures will result in denial of funding.

NOTICE

According to state and federal tax laws, all employers (including Wesleyan University) are required to withhold or report taxes on any fees for services rendered by "performers" (i.e. DJs, musicians, speakers, sound technicians, etc.) Therefore, these parties MUST be paid directly by the WSA student organization or Student Activities and Leadership Development. If payment is made by student to performer, said student WILL NOT be reimbursed, as this is considered third party reimbursement. By pressing the SUBMIT button, I acknowledge and understand the statement above.